Nizoral Shampoo 75ml2%

• Fungal skin infections (tinea pedis, tinea corporis, tinea cruris)
• Seborrheic dermatitis
• Dandruff (pityriasis capitis)
• Pityriasis versicolor
• Vaginal candidiasis
• Other systemic mycoses

Adult Dose (Shampoo):

• Seborrheic dermatitis/Dandruff: twice weekly × 2-4 weeks (treatment); once every 1-2 weeks (prophylaxis)
• Pityriasis versicolor: once daily × 5 days

Adult Dose (Cream):

• Tinea pedis: twice daily × 1 week (mild); more severe until symptoms resolve
• Other infections: once or twice daily; tinea versicolor 2-3 weeks; tinea corporis 3-4 weeks

Adult Dose (Tablet):

• Vaginal candidiasis: 200 mg twice daily × 5 days
• Other: 200 mg once daily until 1 week after symptoms resolve

Child Dose (Tablet): 3.3-6.6 mg/kg/day once daily

Shampoo:

• Local burning sensation
• Itching
• Contact dermatitis
• Oily and dry hair (rare)

Cream:

• Application site burning
• Erythema
• Pruritus
• Skin exfoliation
• Dry skin

Tablet:

• Nausea
• Headache
• Diarrhea
• Abdominal pain
• Vomiting

Precautions:

• After prolonged topical corticosteroid use, gradually withdraw over 2-3 weeks (to prevent rebound effect)
• If shampoo gets into eyes, bathe with water
• Not for ophthalmic use (cream)
• Monitor liver enzymes in patients with previous liver disease (tablet)
• Discontinue tablet if signs of liver reaction (nausea, fatigue, pale stools, dark urine, jaundice)